耳念珠菌医院感染预防与控制的最佳证据总结

Summary of best evidence for prevention and control of Candida auris hospital-associated infection

  • 摘要:
    目的 检索并总结耳念珠菌患者医院感染预防与控制的最佳证据, 为临床规范化管理提供循证依据。
    方法 系统检索国内外权威指南库、专业协会网站及中英文数据库(检索时限:建库至2025年3月), 由2名研究员独立完成文献筛选、质量评价和数据提取。
    结果 最终纳入文献14篇(指南4篇、专家共识及建议5篇、系统评价4篇、原始研究1篇)。围绕危险因素, 手卫生规范, 主动监测策略, 去定植方法, 接触隔离措施, 环境清洁与消毒要求, 人员培训多学科协作管理7个核心主题, 提炼出27条最佳实践建议。
    结论 本研究系统整合了当前耳念珠菌医院感染防控的最佳证据, 为医务人员制定并实施科学、有效的感控策略提供循证依据。

     

    Abstract:
    OBJECTIVE To retrieve and summarize the best evidence for the prevention and control of hospital-associated infection in patients with Candida auris, providing an evidence-based basis for standardized clinical management.
    METHODS Systematic searches were conducted in authoritative guideline databases, professional association websites and Chinese and English databases (search period: from the database establishment to Mar. 2025). Two researchers independently performed literature screening, quality assessment and data extraction.
    RESULTS A total of 14 articles were included (4 guidelines, 5 expert consensuses and recommendations, 4 systematic reviews and 1 original study). Focusing on seven core themes, including risk factors, hand hygiene protocols, active surveillance strategies, decolonization methods, contact isolation measures, environmental cleaning and disinfection requirements and multidisciplinary collaborative management of personnel training, 27 best practice recommendations were distilled.
    CONCLUSIONS This study systematically consolidates the current best evidence for the prevention and control of C. auris hospital-associated infection, offering an evidence-based basis for healthcare workers to develop and implement scientific and effective infection control strategies.

     

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